Individual provider Active NPI

Vishwanatha S Nadig, MD

  • Interventional Cardiology Physician
  • De Queen, AR
National Provider Identifier
1740266998
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-11030 Issued in AR
Practice address
405 E Collin Raye Dr Ste C
De Queen, AR 71832
Phone
(870) 642-5323
NPI assigned
Dec 20, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 04-34837 KS
Interventional Cardiology Physician 207RI0011X 28667 WV
Interventional Cardiology Physician 207RI0011X 0101268888 VA
Interventional Cardiology Physician 207RI0011X E-11030 AR Primary

Addresses

Primary practice location

405 E Collin Raye Dr Ste C
De Queen, AR 71832

Mailing address

405 E Collin Raye Dr Ste C
De Queen, AR 71832-4107
Phone (870) 642-5323

Other practice location 1

2205 W Main St
Russellville, AR 72801-2759
Phone (479) 968-4311

Other practice location 2

1256 N Eisenhower Dr
Beckley, WV 25801-3120
Phone (304) 254-2415

Other practice location 3

400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AR, TX, WV, VA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110204000893 WI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1355330242 Reassigns benefits to 1 organization
I20180223000081 AR Practitioner - Cardiovascular Disease (Cardiology) 1355330242 Reassigns benefits to 1 organization
I20191108001508 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1355330242
I20201113000402 WV Practitioner - Interventional Cardiology 1355330242 Reassigns benefits to 1 organization
I20211026000255 VA Practitioner - Interventional Cardiology 1355330242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Health Care and Wellness LLCGroup PAC ID 3678004579, 3 clinicians

Practice addresses (Care Compare)

100 Constitution Dr
Suite 217
Virginia Beach, VA 23462-6799
Phone (757) 963-7729

3803 Spring St
Suite 410
Mount Pleasant, WI 53405-1660
Phone (262) 687-8260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L0336TXMDEmergency Medicine Physician
0101268888VAMDInterventional Cardiology Physician
28667WVMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Oct 15, 2021 Accepting new patients
St Mary's Physician Services LLC CurrentSince Oct 15, 2021 Accepting new patients
Sentara Medical Group CurrentSince Oct 11, 2021 Accepting new patients
Advanced Health Care and Wellness LLC Interventional Cardiology CurrentSince Aug 5, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 1, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jun 1, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 1, 2020 Accepting new patients
St Marys Physician Services, LLC Interventional Cardiology Past Accepting new patients

Locations

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

2205 W Main St
Russellville, AR 72801
Phone (479) 890-2654

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701

12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

100 Constitution Dr
Ste 217
Virginia Beach, VA 23462
Phone (757) 963-7729

4417 Corporation Ln
Virginia Beach, VA 23462
Phone (757) 771-4333

400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3803 Spring St
Ste 410
Mount Pleasant, WI 53405
Phone (262) 687-6094

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

1256 N Eisenhower Dr
Beckley, WV 25801
Phone (304) 254-2415

1256 N Eisenhower Dr
Ste 700
Beckley, WV 25801
Phone (304) 254-2415

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

Interoperability endpoints

  • Direct secure messaging: vishwanatha.nadig.1@31955.direct.athenahealth.com
  • Direct secure messaging: vishwanatha.nadig@acl-ar.direct.office.nextgen.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740266998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E COLLIN RAYE DR STE C",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718324107",
            "telephone_number": "870-642-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E COLLIN RAYE DR STE C",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "71832",
            "telephone_number": "870-642-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012759",
            "country_code": "US",
            "telephone_number": "479-968-4311",
            "fax_number": "479-968-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1256 N Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258013120",
            "country_code": "US",
            "telephone_number": "304-254-2415",
            "fax_number": "304-254-0220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Sentara Cir Ste 320",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-345-4800",
            "fax_number": "757-345-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADIG",
        "first_name": "VISHWANATHA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KS",
            "license": "04-34837",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WV",
            "license": "28667",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101268888",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-11030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.